Abstract: Objective: To explore the effect of multidisciplinary blood management strategy on perioperative accelerated rehabilitation nursing in patients undergoing posterior long-segment lumbar surgery. Methods: Forty-five patients who underwent long -segment lumbar surgery between July 2021 and December 2021 were included in the control group, and forty-five patients who underwent long -segment lumbar surgery between January 2022 and May 2022 were included in the observation group. The control group received the routine blood management program in perioperative period. The observation group was given a multidisciplinary cooperative blood standard management strategy. The intraoperative blood loss, hemoglobin values on day 1 and day 3, postoperative drainage volume, indwelling time of postoperative drainage catheter, postoperative bed rest time, number of perioperative allogeneic blood transfusion and the occurrence of VTE were compared between the two groups. Results: There was no significant difference in intraoperative blood loss between the two groups(P=0.66). The hemoglobin value of the two groups on day 1 and day 3 after surgery was compared, the observation group was significantly better than the control group (P<0.001). The postoperative drainage volume of the observation group was significantly less than the control group(P=0.001), while there was no significant difference in the indwelling time of the postoperative drainage tube between the two groups(P=0.86). The postoperative bed rest time in the observation group was significantly shorter than the control group(P<0.001). The number of perioperative allogeneic blood transfusion cases in the observation group was significantly less than the control group(P<0.001). There was no significant difference in the number of VTE cases between the two groups(P=0.17). Conclusion: The application of multidisciplinary blood standard management intervention strategy in patients with lumbar disc herniation undergoing long-segment lumbar surgery is beneficial to improve the perioperative hemoglobin value and accelerate postoperative recovery in patients undergoing posterior longsegment lumbar surgery.

Key words: Blood management, Perioperative period, Accelerated rehabilitation surgery, Nursing

摘要： 目的：探讨多学科合作的血液规范管理策略在腰椎后路长节段手术患者中的应用效果。 方法：将 2021 年 7 月至 12 月间行腰椎后路长节段手术患者 45 例纳入对照组，2022 年 1 月至 5 月间行腰椎后路长节段手术患者 45 例纳入观察组。 对照组采用围手术期常 规血液管理方案。观察组给予多学科合作的血液规范管理策略。比较两组患者术中出血量，术后第 1 天、第 3 天血红蛋白数值，术后引 流量、术后引流管留置时间、术后卧床时间以及围手术期异体输血例数和静脉血栓栓塞症（VTE）发生情况。 结果：两组患者术中出血 量对比差异无统计学意义（P=0.66）。 两组患者术后第 1 天及术后第 3 天血红蛋白值对比，观察组优于对照组，差异有统计学意义 （P＜0.001）。 观察组患者术后引流量少于对照组，差异有统计学意义（P=0.001）。 而两组患者术后引流管留置时间对比差异无意义 （P=0.86）。两组患者术后卧床时间对比，观察组短于对照组，差异有统计学意义（P＜0.001）。围手术期异体输血例数观察组少于对照 组，差异有统计学意义（P＜0.001）。两组患者 VTE 发生例数对比差异无统计学意义（P=0.17）。结论：多学科血液规范管理干预策略可 改善腰椎间盘突出行腰椎后路长节段手术患者围手术期血红蛋白数值，促进患者术后康复。

关键词: 血液管理, 围手术期, 加速康复外科, 护理